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SOUTH UMPQUA FAMILY DENTAL PC
NPI 1659675338
Dentist in Riddle, OR

Active since January 10, 2011
150 MAIN STREET, RIDDLE, OR 97469(541) 874-3126(541) 874-3259 Get Directions Write a Review

NPPES record last updated: January 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Umpqua Family Dental Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH UMPQUA FAMILY DENTAL PC (NPI 1659675338) is a healthcare organization registered as a dentist in Riddle, Oregon and active in the NPI registry since January 2011. The organization lists Eric D Cornelius, President/secretary, as its authorized official.

NPPES Registry Identity

NPI1659675338
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSOUTH UMPQUA FAMILY DENTAL PC
Location Address150 MAIN STREETRiddle, OR 97469-0107
Mailing AddressPo Box 107Riddle, OR 97469-0107 · (541) 874-3126 · Fax (541) 874-3259
Phone(541) 874-3126
Fax(541) 874-3259
Organization SubpartNo
Authorized OfficialEric D CorneliusPresident/secretary · (541) 874-3126
Enumeration DateJanuary 10, 2011
✔ NPI 1659675338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D9281
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
150 MAIN STREET, Riddle, OR 97469
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH UMPQUA FAMILY DENTAL
Dentist (General Practice)
150 MAIN STREET
RIDDLE, OR 97469
Douglas County (541) 874-3126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Umpqua Family Dental PC's NPI number?

The NPI number for South Umpqua Family Dental PC is 1659675338. It was assigned to this organization in the NPPES registry on January 10, 2011.

Where is South Umpqua Family Dental PC located?

South Umpqua Family Dental PC is located at 150 Main Street, Riddle, OR 97469. The listed phone number is (541) 874-3126.

What is South Umpqua Family Dental PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for South Umpqua Family Dental PC was last updated on January 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.